Sleep loss lowers testosterone in healthy young men

Cutting back on sleep drastically reduces a healthy young man's testosterone levels, according to a study published in the June 1 issue of the Journal of the American Medical Association(JAMA).

Eve Van Cauter, PhD, professor in medicine and director of the study, found that men who slept less than five hours a night for one week in a laboratory had significantly lower levels of testosterone than when they had a full night's sleep. Low testosterone has a host of negative consequences for young men, and not just in sexual behavior and reproduction. It is critical in building strength and muscle mass, and bone density.

"Low testosterone levels are associated with reduced well being and vigor, which may also occur as a consequence of sleep loss" said Van Cauter.

At least 15 percent of the adult working population in the US gets less than 5 hours of sleep a night, and suffers many adverse health effects because of it. This study found that skipping sleep reduces a young man's testosterone levels by the same amount as aging 10 to 15 years.

The ten young men in the study were recruited from around the University of Chicago campus. They passed a rigorous battery of tests to screen for endocrine or psychiatric disorders and sleep problems. They were an average of 24 years old, lean and in good health.

For the study, they spent three nights in the laboratory sleeping for up to ten hours, and then eight nights sleeping less than five hours. Their blood was sampled every 15 to 30 minutes for 24 hours during the last day of the ten-hour sleep phase and the last day of the five-hour sleep phase.

The effects of sleep loss on testosterone levels were apparent after just one week of short sleep. Five hours of sleep decreased their testosterone levels by 10 percent to 15 percent. The young men had the lowest testosterone levels in the afternoons on their sleep restricted days, between 2 pm and 10 pm.

The young men also self-reported their mood and vigor levels throughout the study. They reported a decline in their sense of well-being as their blood testosterone levels declined. Their mood and vigor fell more every day as the sleep restriction part of the study progressed.

Testosterone levels in men decline by 1 percent to 2 percent a year as they age. Testosterone deficiency is associated with low energy, reduced libido, poor concentration, and fatigue.

The National Heart, Lung, and Blood Institute funded this study. Additional funding came from the National Institute of Diabetes and Digestive and Kidney Diseases, and the National Institutes of Health. Rachel Leproult, PhD, organized and supervised the experiment, which took place in the University of Chicago Clinical Research Center. The health impact of sleep deprivation has been the focus of research conducted by Eve Van Cauter and Rachel Leproult for more than 10 years.